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Decreased Observance of Stroke in the Population Associated With COVID-19 Related Distancing Measures

Daniel B Knox1,2, Michael J Lanspa1,2, Samuel M Brown1,2

  • 1Intermountain Medical Center, Murray, UT, USA.

The Neurohospitalist
|April 1, 2021
PubMed

Insights

During the COVID-19 pandemic, stroke admissions significantly decreased by 43% at a major medical center. This study investigated the reasons for this decline in stroke patient presentations.

Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke is a leading cause of death and disability in the US, affecting approximately 795,000 individuals annually.
  • The COVID-19 pandemic presented unprecedented challenges to healthcare systems globally.
  • Understanding changes in acute stroke care during the pandemic is crucial for public health preparedness.

Purpose of the Study:

  • To determine if stroke admissions changed at a comprehensive stroke center during the COVID-19 pandemic.
  • To characterize any changes in the patient population and their clinical presentation.
  • To explore potential factors contributing to observed changes in stroke admissions.

Main Methods:

  • Retrospective analysis of stroke admissions to Intermountain Medical Center.
  • Comparison of stroke patient volume during the pandemic period with the average volume from the prior three years for April.
  • Analysis of patient characteristics and stroke presentation details.

Main Results:

  • A significant 43% reduction in overall stroke patient presentations was observed.
  • The decrease encompassed all stroke types compared to historical averages.
  • The specific characteristics of the reduced patient cohort and their presentations were documented.

Conclusions:

  • The COVID-19 pandemic was associated with a substantial decrease in stroke admissions.
  • The complex interplay of factors influencing this reduction requires further investigation.
  • Findings highlight the impact of public health crises on critical care utilization for conditions like stroke.

Keywords:
COVID-19pandemicstroke

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